Sara Symoens

Divorce, divorce rates, and professional care seeking for mental health problems in Europe: a cross-sectional population-based study

BackgroundLittle is known about differences in professional care seeking based on marital status. The few existing studies show more professional care seeking among the divorced or separated compared to the married or cohabiting. The aim of this study is to determine whether, in a sample of the European general population, the divorced or separated seek more professional mental health care than the married or cohabiting, regardless of self-reported mental health problems. Furthermore, we examine whether two country-level features--the supply of mental health professionals and the country-level divorce rates--contribute to marital status differences in professional care-seeking behavior.MethodsWe use data from the Eurobarometer 248 on mental well-being that was collected via telephone interviews. The unweighted sample includes 27,146 respondents (11,728 men and 15,418 women). Poisson hierarchical regression models were estimated to examine whether the divorced or separated have higher professional health care use for emotional or psychological problems, after controlling for mental and somatic health, sociodemographic characteristics, support from family and friends, and degree of urbanization. We also considered country-level divorce rates and indicators of the supply of mental health professionals, and applied design and population weights.ResultsWe find that professional care seeking is strongly need based. Moreover, the divorced or separated consult health professionals for mental health problems more often than people who are married or who cohabit do. In addition, we find that the gap between the divorced or separated and the married or cohabiting is highest in countries with low divorce rates.ConclusionsThe higher rates of professional care seeking for mental health problems among the divorced or separated only partially correlates with their more severe mental health problems. In countries where marital dissolution is more common, the marital status gap in professional care seeking is narrower, partially because professional care seeking is more common among the married or cohabiting.

Breaking Up, Breaking Hearts? Characteristics of the Divorce Process and Well-Being After Divorce

This article expands existing research on divorce and mental health by considering the divorce process and how it relates to the postdivorce well-being of men and women. Drawing on gender role theories, we focus on conflict, duration of the divorce process, initiation, moving house, and feelings of (in)equity. Men and women aged 25 to 60 years who had divorced no more than 5 years were selected from the population-based survey Divorce in Flanders (DIF; N sample = 728). Results of the multilevel regressions indicate that initiation, shared initiation, and a fair perception of the division at divorce relate to better mental health. Contrary to expectations, longer trajectories and trajectories characterized by conflict do not relate to worse mental health in the long run. A new partner seems to be the key for greater well-being after divorce.

Professional health care use and subjective unmet need for social or emotional problems: a cross-sectional survey of the married and divorced population of Flanders

BackgroundThe high mental health care consumption rates of divorced singles may constitute a heavy burden on the public health care system. This raises the question of whether their higher health care use stems from a greater need, or whether there are other factors contributing to these high consumption rates. We examine both health care use and subjective unmet need (perceiving a need for care without seeking it) because of social or emotional problems of the divorced singles, the repartnered divorcees, and the married. Moreover, we investigate how health care use and subjective unmet need relate to each other.MethodsWe conduct several gender specific logistic regressions employing data from the Divorce in Flanders Survey (N men = 2884; N women = 3317).ResultsResults show that the divorced singles have more contact with professional health care providers (general practitioners, psychiatrists, and psychologists) because of social or emotional problems, and more often perceive unmet needs. The higher health care use rates and greater subjective unmet needs can largely be attributed to higher levels of depressive symptoms. Surprisingly, we find that non-frequent health care users more often perceive a subjective unmet need than frequent health care users and those who have not contacted any health care provider.ConclusionThe single divorced consult health care providers more often because of social or emotional problems and they also perceive unmet needs more often.

Work-family conflict and mental health in newlywed and recently cohabiting couples: a couple perspective

Combining work and family can be a significant source of tension and conflict. For young dual-earner couples especially it is a challenge to find a balance. We examine the impact of negative work-to-family and family-to-work spillover on feelings of depression and life satisfaction, as well as crossover effects between partners. Of particular interest are differences between married and cohabiting partners. Dyadic data stemming from a subsample of the Belgian survey ‘Relationships in Flanders’ (2010) are used (N newlywed couples = 376, N recently cohabiting couples = 344). Regressions confirm that both work-to-family and family-to-work spillover are major stressors. In line with gender role theories, men seem somewhat more affected by family-to-work spillover; women by work-to-family spillover, also when their partner allows work to interfere with family. Overall, the cohabiting do not feel more distressed, but do feel less satisfied with life. Moreover, interesting differences appear when comparing both groups.